Multi Angle Biopsy Guide Assembly1. Scan the patient and identify the target for biopsy. Move theprobe to locate the target to the center of the image. Enablethe system biopsy guidezone and try guidezone anglesMBX1 to MBX3 to decide the best angle setting for needlepath.

Figure 5-10. Example2. Pull up on the knob (Figure 5-11 a) to freely move theneedle guide attachment. Align the knob with the selectedposition of the needle guide attachment.Push the knob down (Figure 5-11 b) into the desired slot tosecure the angle position of the needle guide attachment.

Figure 5-11. Pull up and push down the knob3. Fit a convex of the biopsy bracket (a) in a concave of theprobe (b).

Figure 5-12. Probe/Bracket AlignmentHold the side (a) and tuck down the needle guide side (b)until it clicks or locks in place.

Figure 5-13. Probe/Multi-angle Bracket Alignment 24. Place an adequate amount of coupling gel on the face of theprobe.5. Place the proper sanitary sheath tightly over the probe andbiopsy bracket. Use the rubber bands supplied to hold thesheath in place.

Figure 5-14. Applying Sanitary Sheath6. Snap the needle guide onto the biopsy guide bracket.

Figure 5-15. Snap the needle guide7. Push the locking mechanism towards the bracket to securethe lock (a). Make sure the needle guide is firmly attached tothe bracket.

Figure 5-16. Lock the Needle guide8. Choose the desired gauge (size) needle barrel. Twist it backand forth to remove it from the plastic tree.

ure 5-17. Needle Barrel9. Place the needle barrel into the needle clip with the desiredgauge facing the needle clip and snap into place.

Figure 5-18. Needle Barrel InstallationRemove the biopsy guide1. Hold the other side and push out the needle clip attachmentside. See Figure 5-19.

Figure 5-19. Remove the biopsy guideCAUTION Prevent damage to the probe lens with finger nails.Releasing the needleAccording to the following procedure, you remove the needlefrom a probe and an assembly without moving the needle.

Figure 5-20. Release the needle from assembly

a. Push the knob portion of a sleeve in the direction of thearrow.b. The needle is released from the assembly.c. Push the probe and the assembly in the direction of thelarger arrow to remove the needle.

The Biopsy Procedure

WARNING Biopsy procedures must only be performed on live images.

1. Place coupling gel on the scanning surface of the probe/sheath/biopsy guide assembly.2. Activate the biopsy guidezone on the system through theB-Mode menu. When using multi-angle guides, ensure thatthe proper guidezone angle is displayed.3. Scan to locate the target. Center the target in the electronicguidezone path.NOTE: Enabling color flow would allow for visualization of thevascular structure around the area to be biopsied.4. Place the needle in the guide between the needle barrel andneedle clip. Direct it into the area of interest for specimenretrieval.